Tai Yang - Jue Yin Symptoms

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SIX STAGES - COLD DISEASES - SHAN HAN LUN

MARY ANNE MATTA


Characteristics:

Shan Han (cold) first attacks the Wei Qi then progressively lodges itself deeper
Wei Qi is Yang and concentrates at GV 14 (crossing pt. of all yang meridians) & between scapula (gua sha very effective here)
Healing happens in the reverse order of onset (more recent symptoms disappear first, more chronic symptoms disappear last)
In Yang stages, needle the yang antique points. In Yin stages, needle the Yin antique points.
In mild conditions, the legs are affected. In severe conditions, the arms and legs are affected.
Wind points to use: SI 12, BL 12, GB 20, DU 16, DU 14

Six Stages Pattern Symptomatology Points


Prevalence of Wind Aversion to wind, slightly aversion to cold, stiff neck, mild H/A, slight BL 12, LU 7, LI 4, GB 20, TB 5, ST 36
Channel Pattern sweating, sneezing, shivers, floating-slow pulse

Prevalence of Cold Pronounced aversion to cold, stiff neck, severe headache that is likely BL 12, LU 7, LI 4, TB 5, GB 20, MOXA
Channel Pattern occipital, no sweating, severe body aches, runny nose with white
discharge, SOB, floating tight pulse
Tai Yang
Accumulation of Water Aversion to cold, fever, retention of urine, slight thirst, vomiting of fluids CV 3, CV 9, ST 28, LU 7, BL 22, BL 39,
Organ Pattern soon after drinking, floating rapid pulse BL 64

Accumulation of Blood Hypogastric distention, fullness and urgency in urination, blood in urine, CV 3, ST 28, BL 39, BL 22,
Organ Pattern mental restlessness, reddish-purple tongue without coat. Deep-fine- KD 14, SP 10, LV 3, SP 6
rapid or Deep-choppy pulse

YANG Yang Ming ST Heat builds as a result of stagnation causing Big Four – high fever, LI 11, DU 14, PC 3, ST 43, ST 44
Channel Pattern profuse sweating, intense thirst, Overflowing-rapid or Big-rapid pulse.
Red tongue with yellow coat. Feeling of heat is objective (patients body
is hot on palpation)
Yang Ming
Yang Ming ST and intestinal Heat turning to Fire & burning up fluids à Dryness in LI 11, DU 14, PC 3, ST 43, ST 44, ST
Organ Pattern bowels. High fever is worse in the afternoon. Big Four + constipation. 25, SP 15, ST 37, SP 6
Deep-full-slippery-rapid pulse. Thick coat

Btw Interior & Exterior Yang of the Wei Qi is exhausted. EPF moves between Tai Yang and Yang TB 5, GB 41, TB 6, DU 13
Ming levels (½ exterior ½ interior, ½ head ½ abdomen, pain in the side
of the body). Alternating chills and fever (feeling of heat alternates btw
Shao Yang
objective & subjective sensations). Qi stagnates and affects the LV à
irritability, bitter taste, blurred vision, dizziness

SP Yang Deficiency & Yang Ming is exhausted and cold takes root in the abdomen. Abdominal REN 12, BL 20, ST 36, ST 25, SP 6,
Cold fullness, a feeling of cold, vomiting, lack of appetite, diarrhea, no thirst, MOXA
Tai Yin
tired, pale tongue with sticky white coat. Deep-slow-weak pulse

Cold Transformation KD Yang Deficiency – chills, feeling cold, sleepy, lying curled up, desire REN 4, REN 6, KD 3, KD 6, SP 6
only for warm fluids, frequent pale urination, diarrhea, pale wet tongue
with white coat, Deep-weak-slow pulse

Shao Yin
Heat Transformation KD Yin Deficiency – a feeling of heat, night sweats, irritability, dry mouth REN 4, REN 6, KD 3, KD 6, SP 6
YIN and throat at night, dark urine, insomnia, red tongue without coat, Fine-
rapid pulse

Collapse of Yin & Yang Yin cannot ascend à heat above. Chest heat & pain, persistent thirst, LV3, LI 4, SP 4, PC 6
hungry but no desire to eat, vomiting, malar flush, night sweats

Jue Yin Yang cannot descend à cold below. Cold hands & feet or limbs,
diarrhea, weak knees and back, cold limbs, swelling, edema, ascites.
worms

Note: Digestive and bowel complaints occur in Yangming, Taiyin, and Shaoyin stages. You will need to differentiate by 8 principles,
particularly Hot and Cold. If that is not clear in a case study, then differentiate by thirst:
Yangming – intense thirst
Taiyin – no thirst
Shaoyin – thirst for warm fluids only (Yang Xu) or dry mouth at night (Yin Xu)

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